Abstract
One of the technical challenges during arthroscopic rotator cuff repair is bone deficiency in proximal humerus to get adequate fixation of suture anchors. The typical scenarios that result in bone deficiency at rotator cuff footprint are older individuals, females, osteoporosis, and revision rotator cuff repairs with failed anchors from previous surgery. One of the ways to secure fixation of suture anchors in deficient bone is augmentation with polymethyl methacrylate cement. We present a stepwise technique of cement augmentation of suture anchor during arthroscopic rotator cuff repair to achieve secure fixation of suture anchor and avoid spillage of cement in the subacromial space.